Individual
DR. LAUREN GRAY WULC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
211 GEIGER RD, PHILADELPHIA, PA 19115-1009
(610) 937-5864
Mailing address
1930 STONE RIDGE LN, VILLANOVA, PA 19085-1722
(610) 937-5864
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS039539
PA
Other
Enumeration date
06/07/2013
Last updated
08/02/2021
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